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Total Healthcare Systems Licensed Practical Nurse (LPN) in Lebanon, Tennessee


Purpose of this position:

The purpose of this position is to supervise, provide and coordinate nursing care in compliance with facility policies and procedures and to assess residents’ care needs and take appropriate action.


  • Must have current license.
  • License must be free of any encumbrances
  • Must not have any disqualifying findings barring employment as stated by State or Federal regulations. Delegation of authority:

  • Take appropriate action to assure adequate staffing to provide resident care.

  • Supervise and assess resident care and take appropriate action.
  • Implement facility procedures to provide resident care. Primary Functions and Responsibilities:

  • Follow established standards of nursing practices and implement facility policies and procedures.

  • Interpret existing policies and procedures to nursing assistants, restorative nursing assistants, residents, families and physicians.
  • Supervise and evaluate all direct resident care and initiate corrective action as necessary.
  • Obtain report from nurse being relieved and record sufficient information to implement appropriate follow-up action as necessary.
  • Provide report to nurse coming on duty, including sufficient information for follow-up action as necessary.
  • Take appropriate action to assure adequate staffing to meet residents’ needs.
  • Conduct resident rounds daily, reporting problems to nursing supervisor and initiating corrective action.
  • Identify safety hazards and initiate corrective action immediately.
  • Identify resident problems and emergency situation and initiate emergency care and “life-saving” measures in the absence of a physician.
  • Follow, supervise and evaluate implementation of the Residents’ Rights Program.
  • Participate in facility education programs.
  • Provide supervision to Nursing Assistant providing direct resident care.
  • Attend staff meetings, interdisciplinary team meetings, rehabilitation meetings, in- service classes and committee meetings as assigned.
  • Follow staffing guidelines and make nursing assignments according to qualifications of staff and characteristics of the resident population.
  • Assume responsibility for compliance with federal, state and local regulations within the assigned unit.
  • Counsel Nursing Assistants and recommend disciplinary action to the Director of Nursing Service, when necessary.
  • Participate in the employee evaluation process by providing information on the performance of Nursing Assistants.
  • Administer and document direct resident care, medications and treatments per physicians’ orders and accurately record all care provided.
  • Provide instruction for appropriate nursing care to licensed nurses and Nursing Assistants.
  • Perform comprehensive assessment of residents as assigned.
  • Document comprehensive assessment of residents as assigned.
  • Develop and implement an accurate comprehensive care plan based on each resident’s needs and his/her comprehensive assessment.
  • Promptly report changes in residents’ conditions to the physician, Director of Nursing Service and responsible party, and take follow-up action as necessary.
  • Follow facility admission procedures and communicate resident admission to other departments, physicians and ancillary service providers.
  • Competently perform basic nursing skills.
  • Follow facility discharge /transfer procedure and coordinate discharge/transfer with other departments, physicians and ancillary service providers.
  • Complete documentation related to the resident’s discharge/transfer.
  • Supervise response to resident’s call for assistance.
  • Listen to resident, family, or physician concerns and initiate corrective action and/or report concerns to Nursing Supervisor.
  • Count narcotics, check emergency kit and exchange keys.
  • Check meal trays and nourishment to ensure proper diet is served and residents are assisted as necessary.
  • Supervise the application and removal of all restraints and devices used to position and enable residents to function as independently as possible.
  • Order, receive and store medications appropriately.
  • Notify physician, when necessary, of changes in residents’ conditions, weight, medication errors, medication not available, abnormal laboratory/X-Ray results and any other unusual observations.
  • Document resident progress notes as required.
  • Document daily notes on unstable residents, Medicare residents and recently admitted residents.
  • Consistently work cooperatively with residents, nursing staff, physicians, families, consultant personnel, community agencies and ancillary service providers.
  • Obtain continuing education required to maintain licensure.
  • Be responsible for the safety of residents under his/her supervision.
  • Observe all facility safety policies and procedures.
  • Come to work in a clean, neat uniform and consistently present an appropriate professional appearance.
  • Come to work as scheduled and consistently demonstrate dependability and punctuality.
  • Assume accountability for data contained in the employees’ handbook.
  • Perform all duties assigned in an effective, cooperative, timely and professional manner.
  • Observe infection control procedures.
  • Follow Residents’ Rights policies at all times.
  • Be responsible for the safety of residents under his/her supervision.
  • Observe all facility policies and procedures.
  • Perform other related duties as directed by his/her supervisor.
  • Consistently work cooperatively with residents, residents’ representatives, facility staff, physicians, consultants and ancillary service providers.
  • Assure that feeding assistants are adequately supervised.
  • Periodically review the department’s policies, procedure manuals, job descriptions, etc. Make recommendations, as needed for revisions.
  • Meet with your assigned nursing staff, as well as support personnel, in planning the shifts’ services, programs, activities and changes in routine or policies.
  • Agree not to disclose assigned user I.D. code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Supervisor.
  • Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Supervisor.
  • Notify the DON or designee of all drug and narcotic discrepancies.
  • Report and investigate all allegations of resident abuse and/or misappropriation of resident property.
  • Ability to work other shifts as needed.
  • Complete all duties assigned by his/her supervisor.